Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study
Objectives: To organize an assessment instrument with questionnaires and myofunctional orofacial/oropharyngeal assessment for OSA patients and correlate it with the upper airway obstructive site detected during drug-induced sleep endoscopy (DISE). Material and Methods: 29 OSA patients aged...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2022-05-01
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| Series: | Sleep Science |
| Subjects: | |
| Online Access: | https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15n1a14.pdf |
| _version_ | 1797332523976491008 |
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| author | Fabiane Kayamori Fabio Augusto Winckler Rabelo Daniella Nazario Eric Rodrigues Thuller Esther Mandelbaum Gonçalves Bianchini |
| author_facet | Fabiane Kayamori Fabio Augusto Winckler Rabelo Daniella Nazario Eric Rodrigues Thuller Esther Mandelbaum Gonçalves Bianchini |
| author_sort | Fabiane Kayamori |
| collection | DOAJ |
| description | Objectives: To organize an assessment instrument with questionnaires and myofunctional orofacial/oropharyngeal assessment for OSA patients and correlate it with the upper airway obstructive site detected during drug-induced sleep endoscopy (DISE).
Material and Methods: 29 OSA patients aged 22-65 years with an indication to undergo DISE to evaluate an alternative treatment to PAP and signed the consent form. Patients over 65 years old with maxillofacial deficiency and BMI>30 were excluded. The subjects answered the Pittsburgh, Berlin (snore), and Epworth questionnaires. The myofunctional orofacial/oropharyngeal assessment comprised soft palate, palatine pillars, and uvula (structure and mobility), tonsils (size), mandible (bony bases), hard palate (depth and width), tongue (posture, volume, width, and height), floor of mouth (mylohyoid), tongue suction and sustaining (mobility), “lowering of the back of the tongue” (stimulus), which were scored by three speech-language pathologists with expertise. DISE was scored according to VOTE classification. The statistical analysis (t-test) compared groups without and with obstruction in VOTE with questionnaires and myofunctional orofacial/oropharyngeal assessment.
Results: The following were significantly different: snoring frequency (p=0.03) with VOTE/velopharynx; intensity (p=0.02) and frequency of snoring (p=0.03) with VOTE/lateral wall of oropharynx; suction the tongue and sustain (p=0.02) with VOTE/velopharynx; hard palate depth (p=0.02) and width (p=0.05) with obstruction VOTE/epiglottis; tonsils volume (p=0.05) with VOTE/epiglottis; tongue posture (p=0.00) with obstruction VOTE/epiglottis; floor of the mouth (p=0.02) with VOTE/epiglottis.
Conclusion: Higher snoring frequency and intensity was observed in patients with obstruction at the velopharynx and oropharyngeal lateral wall. Obstruction at the velopharynx was associated with poor tongue ability to suck the tongue against the hard palate. Obstruction at the epiglottis had structural and functional associations, including the oropharyngeal lateral wall, affected by the palatine tonsils size, depth and width of the hard palate, tongue position, and flaccidity of the floor of mouth. Considering that this is a preliminary study, the data should be carefully verified and not generalized. |
| first_indexed | 2024-03-08T07:51:09Z |
| format | Article |
| id | doaj.art-b57f3947f1d34d37a218e35c6d03aef9 |
| institution | Directory Open Access Journal |
| issn | 1984-0659 1984-0063 |
| language | English |
| last_indexed | 2024-03-08T07:51:09Z |
| publishDate | 2022-05-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Sleep Science |
| spelling | doaj.art-b57f3947f1d34d37a218e35c6d03aef92024-02-02T14:48:51ZengThieme Revinter Publicações Ltda.Sleep Science1984-06591984-00632022-05-01150195104001410.5935/1984-0063.20220030Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary studyFabiane Kayamori0Fabio Augusto Winckler Rabelo1Daniella Nazario2Eric Rodrigues Thuller3Esther Mandelbaum Gonçalves Bianchini4Pontifícia Universidade Católica de São Paulo - PUC/SP, Programa de Pós Graduação em Fonoaudiologia - São Paulo - São Paulo - BrazilHospital Samaritano, Departamento de Otorrinolaringologia - São Paulo - São Paulo - BrazilEBianchini Fonoaudiologia, Consultório - São Paulo - São Paulo - BrazilHospital Sírio-Libanês, Instituto Sírio-Libanês de Ensino e Pesquisa - São Paulo - São Paulo - BrazilPontifícia Universidade Católica de São Paulo - PUC/SP, Programa de Pós Graduação em Fonoaudiologia - São Paulo - São Paulo - BrazilObjectives: To organize an assessment instrument with questionnaires and myofunctional orofacial/oropharyngeal assessment for OSA patients and correlate it with the upper airway obstructive site detected during drug-induced sleep endoscopy (DISE). Material and Methods: 29 OSA patients aged 22-65 years with an indication to undergo DISE to evaluate an alternative treatment to PAP and signed the consent form. Patients over 65 years old with maxillofacial deficiency and BMI>30 were excluded. The subjects answered the Pittsburgh, Berlin (snore), and Epworth questionnaires. The myofunctional orofacial/oropharyngeal assessment comprised soft palate, palatine pillars, and uvula (structure and mobility), tonsils (size), mandible (bony bases), hard palate (depth and width), tongue (posture, volume, width, and height), floor of mouth (mylohyoid), tongue suction and sustaining (mobility), “lowering of the back of the tongue” (stimulus), which were scored by three speech-language pathologists with expertise. DISE was scored according to VOTE classification. The statistical analysis (t-test) compared groups without and with obstruction in VOTE with questionnaires and myofunctional orofacial/oropharyngeal assessment. Results: The following were significantly different: snoring frequency (p=0.03) with VOTE/velopharynx; intensity (p=0.02) and frequency of snoring (p=0.03) with VOTE/lateral wall of oropharynx; suction the tongue and sustain (p=0.02) with VOTE/velopharynx; hard palate depth (p=0.02) and width (p=0.05) with obstruction VOTE/epiglottis; tonsils volume (p=0.05) with VOTE/epiglottis; tongue posture (p=0.00) with obstruction VOTE/epiglottis; floor of the mouth (p=0.02) with VOTE/epiglottis. Conclusion: Higher snoring frequency and intensity was observed in patients with obstruction at the velopharynx and oropharyngeal lateral wall. Obstruction at the velopharynx was associated with poor tongue ability to suck the tongue against the hard palate. Obstruction at the epiglottis had structural and functional associations, including the oropharyngeal lateral wall, affected by the palatine tonsils size, depth and width of the hard palate, tongue position, and flaccidity of the floor of mouth. Considering that this is a preliminary study, the data should be carefully verified and not generalized.https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15n1a14.pdfsleep apneaobstructiveexaminationphysicaltherapyspeech |
| spellingShingle | Fabiane Kayamori Fabio Augusto Winckler Rabelo Daniella Nazario Eric Rodrigues Thuller Esther Mandelbaum Gonçalves Bianchini Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study Sleep Science sleep apnea obstructive examination physical therapy speech |
| title | Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study |
| title_full | Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study |
| title_fullStr | Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study |
| title_full_unstemmed | Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study |
| title_short | Myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse: a preliminary study |
| title_sort | myofunctional assessment for obstructive sleep apnea and the association with patterns of upper airway collapse a preliminary study |
| topic | sleep apnea obstructive examination physical therapy speech |
| url | https://cdn.publisher.gn1.link/sleepscience.org.br/pdf/v15n1a14.pdf |
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